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Why is it that doctors expect family members to make medical decisions

After a 10 minute briefing, doctors spend years perfecting the skills, gaining knowledge. How’s it fair?
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DeWayfarer · 61-69, M
Who has more knowledge about any patients desires?

The doctor that barely knows the patient or their family, who has known them for at least a decade?

If the treatments were free, that would be a totally different story.

It's capitalism that is part of the problem here.

We live in a society where most things are treatable. Yet most just can not afford the treatments, even with insurance. Heck even insurance refuses to pay for expensive items, above anyone's deductible.

Who do you want to make the decision for a $1,325 MRI?
Your insurance company, doctor that doesn't know your financial situation or your family?